ATI LPN
ATI Maternal Newborn Proctored Questions
Question 1 of 5
A parent of a newborn is being taught about crib safety. Which statement by the client indicates understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B because removing extra blankets from the baby's crib reduces the risk of suffocation and Sudden Infant Death Syndrome (SIDS). Placing the baby on the stomach (Option A) increases the risk of SIDS. Padding the mattress (Option C) can also increase the risk of suffocation. Placing the crib next to a heater (Option D) can lead to overheating and poses a fire hazard. Removing extra blankets ensures a safe sleep environment for the baby.
Question 2 of 5
During an assessment of a newborn following a vacuum-assisted delivery, which of the following findings should the healthcare provider be informed about?
Correct Answer: A
Rationale: The correct answer is A: Poor sucking. This finding is concerning as it may indicate potential issues with feeding and nutrition in the newborn, which can lead to complications. Poor sucking can be a sign of various underlying problems that require prompt intervention. Blue discoloration of the hands and feet (choice B) is likely due to peripheral cyanosis, which is common in newborns and often resolves on its own. Soft, edematous area on the scalp (choice C) is a common finding in newborns after vacuum-assisted delivery and typically resolves without intervention. Facial edema (choice D) is also a common finding in newborns after delivery and typically resolves on its own.
Question 3 of 5
A client who is at 40 weeks gestation and in active labor has 6 cm of cervical dilation and 100% cervical effacement. The client's blood pressure reading is 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Correct Answer: D
Rationale: The correct answer is D: Assist the client to turn onto her side. This intervention is essential to improve blood flow to the placenta and fetus, thus helping to increase blood pressure and prevent hypotension. Turning the client onto her side can help relieve pressure on the vena cava, allowing for better circulation. A: Preparing for a cesarean birth is not indicated based solely on the client's blood pressure reading. B: Assisting the client to an upright position may worsen hypotension as it can further decrease blood flow to the placenta. C: Preparing for an immediate vaginal delivery is not necessary solely based on the client's blood pressure reading.
Question 4 of 5
A client in active labor is being prepared for epidural analgesia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Obtain a 30-minute electronic fetal monitoring (EFM) strip prior to induction. This is important to assess the fetal well-being and baseline status before initiating epidural analgesia. It helps in detecting any fetal distress or abnormalities that may be exacerbated by the epidural. A: Having the client sit upright with legs crossed is not recommended as it may interfere with the procedure and comfort of the client. B: Administering a 500 mL bolus of lactated Ringer's solution is not directly related to preparing for epidural analgesia. C: Informing the client about the duration of anesthetic effect is important, but ensuring fetal well-being through EFM monitoring is a priority before the procedure.
Question 5 of 5
When monitoring uterine contractions in a client in the active phase of the first stage of labor, which finding should the nurse report to the provider?
Correct Answer: A
Rationale: Rationale: Contractions lasting longer than 90 seconds can indicate uterine hyperstimulation, which can lead to decreased oxygenation of the fetus. This finding should be reported to the provider for further assessment and intervention. Contractions occurring every 3 to 5 minutes (choice B) are normal in the active phase of labor. Strong contractions (choice C) are also expected during this phase. Feeling contractions in the lower back (choice D) is common and not typically a cause for concern. Reporting contractions lasting longer than 90 seconds is crucial to ensure the safety of both the mother and the baby.